Stateson, Jonathan Yrisarri

Stateson, Jonathan Yrisarri is an sole proprietor health care provider with primary practice located at 968 1St Infantry Division Rd , Fort Knox KY 40121-5210. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Stateson, Jonathan Yrisarri can be contacted via phone (502) 624-6158.

Contact Information

Primary practice address
968 1St Infantry Division Rd Fort Knox KY 40121-5210
Phone: (502) 624-6158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 26564 Texas
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 26564 Texas

Profile Details

NPI number 1326327727
LBN Legal business name Stateson, Jonathan Yrisarri
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2011
Last updated Mar 23rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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